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articular fractures

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https://www.readbyqxmd.com/read/28072650/posterior-wall-osteotomy-of-the-acetabulum-to-access-incarcerated-marginal-impaction
#1
Amanda J Schroeder, Frank R Avilucea, Michael T Archdeacon
: Marginal impaction of the acetabulum is typically accessible through fracture planes specific to the nature of the injury. Infrequently, however, incarcerated marginal impaction or free osteochondral fragments are not accessible through these existing fracture planes. As such, alternative methods to access these articular pieces must be considered to ensure adequate reduction. We describe an osteotomy of the posterior wall to access incarcerated fragments and marginal impaction of the acetabulum, enabling concentric articular reduction...
December 28, 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28070864/factors-that-affect-the-content-of-cadmium-nickel-copper-and-zinc-in-tissues-of-the-knee-joint
#2
Wojciech Roczniak, Barbara Brodziak-Dopierała, Elżbieta Cipora, Agata Jakóbik-Kolon, Joanna Kluczka, Magdalena Babuśka-Roczniak
Osteoarthritis causes the degradation of the articular cartilage and periarticular bones. Trace elements influence the growth, development and condition of the bone tissue. Changes to the mineral composition of the bone tissue can cause degenerative changes and fractures. The aim of the research was to determine the content of cadmium (Cd), nickel (Ni), copper (Cu) and zinc (Zn) in the tibia, the femur and the meniscus in men and women who underwent a knee replacement surgery. Samples were collected from 50 patients, including 36 women and 14 men...
January 9, 2017: Biological Trace Element Research
https://www.readbyqxmd.com/read/28052831/orthogonal-plate-fixation-with-corrective-osteotomy-for-treatment-of-distal-radius-fracture-malunion
#3
Michael P Gaspar, Jenniefer Y Kho, Patrick M Kane, Hesham M Abdelfattah, Randall W Culp
PURPOSE: To report outcomes of patients with distal radius fracture malunions treated with corrective osteotomy and orthogonal volar and radial "90-90" plate fixation. METHODS: We performed a retrospective review of all patients who underwent distal radius corrective osteotomy and 90-90 fixation from January 2008 through December 2014. Demographic data, injury history, prior treatments, and clinical examination values were recorded. Preoperative radiographic measurements were used to classify the type and severity of deformity...
January 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28051829/apophyseal-and-epiphyseal-knee-injuries-in-the-adolescent-athlete
#4
P Persiani, F M Ranaldi, A Formica, M Mariani, O Mazza, M Crostelli, C Villani
OBJECTIVES: In the context of pediatric sports injuries, the epiphyseal and apophyseal knee fractures represent rather peculiar lesions. The most frequently involved anatomical area is the knee. The peculiar function of the physis and the need to preserve their integrity, makes choosing what treatment methods to employ very important. Objective of this study is to assess the kind and the effectiveness of the most suitable treatment in the apophyseal and epiphyseal knee lesions occurring in the adolescents...
November 2016: La Clinica Terapeutica
https://www.readbyqxmd.com/read/28050532/foot-and-ankle-fractures-during-childhood-review-of-the-literature-and-scientific-evidence-for-appropriate-treatment
#5
REVIEW
Stefan Rammelt, Alexandre Leme Godoy-Santos, Wolfgang Schneiders, Guido Fitze, Hans Zwipp
Foot and ankle fractures represent 12% of all pediatric fractures. Malleolar fractures are the most frequent injuries of the lower limbs. Hindfoot and midfoot fractures are rare, but inadequate treatment for these fractures may results in compartment syndrome, three-dimensional deformities, avascular necrosis and early post-traumatic arthritis, which have a significant impact on overall foot and ankle function. Therefore, the challenges in treating these injuries in children are to achieve adequate diagnosis and precise treatment, while avoiding complications...
November 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28050531/femoroacetabular-impingement
#6
REVIEW
José Batista Volpon
The femoroacetabular impingement (FAI) is as condition recently characterized that results from the abnormal anatomic and functional relation between the proximal femur and the acetabular border, associated with repetitive movements, which lead labrum and acetabular cartilage injuries. Such alterations result from anatomical variations such as acetabular retroversion or decrease of the femoroacetabular offset. In addition, FAI may result from acquired conditions as malunited femoral neck fractures, or retroverted acetabulum after pelvic osteotomies...
November 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28050088/a-rare-case-of-intra-articular-heterotopic-ossification-of-knee-following-intra-medullary-nailing-of-fracture-tibia-in-a-patient-with-fat-embolism
#7
B Hari Krishnan, Yogesh Sharma, Anjan Prabhakara
No abstract text is available yet for this article.
December 2016: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/28040073/fixation-of-intra-articular-fractures-of-the-distal-radius-using-intramedullary-nailing-a-randomized-trial-versus-palmar-locking-plates
#8
Gertraud Gradl, Steffi Falk, Thomas Mittlmeier, Martina Wendt, Nadja Mielsch, Georg Gradl
BACKGROUND: Proposed benefits of intramedullary techniques include limited soft tissue dissection while affording sufficient stability to allow early wrist motion. The primary null hypothesis of this randomized trial was that there is no significant difference with respect to functional outcome, pain and disability between patients treated with either 2.4-mm volar locking plate fixation or intramedullary nail fixation of intra-articular fractures of the distal radius. METHODS: We conducted a single-centre, prospective randomized matched-pairs trial...
December 2016: Injury
https://www.readbyqxmd.com/read/28035445/effect-of-progressive-high-impact-exercise-on-femoral-neck-structural-strength-in-postmenopausal-women-with-mild-knee-osteoarthritis-a-12-month-rct
#9
J Multanen, T Rantalainen, H Kautiainen, R Ahola, T Jämsä, M T Nieminen, E Lammentausta, A Häkkinen, I Kiviranta, A Heinonen
: It is uncertain whether subjects with mild knee osteoarthritis, and who may be at risk of osteoporosis, can exercise safely with the aim of improving hip bone strength. This RCT showed that participating in a high-impact exercise program improved femoral neck strength without any detrimental effects on knee cartilage composition. INTRODUCTION: No previous studies have examined whether high-impact exercise can improve bone strength and articular cartilage quality in subjects with mild knee osteoarthritis...
December 29, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/28031517/review-article-operative-versus-nonoperative-treatment-for-displaced-intraarticular-calcaneal-fracture-a-meta-analysis-of-randomised-controlled-trials
#10
Sanjay Meena, Shreesh Kumar Gangary, Pankaj Sharma
We reviewed 8 randomised controlled trials that compared operative and non-operative treatment for displaced intra-articular calcaneal fractures. Patients with operative treatment were more likely to resume pre-injury work (relative risk [RR]=0.60, p=0.04), had fewer problems when wearing shoes (RR=0.42, p=0.0004), and had a higher physical component summary score of SF-36 (difference in means=6.75, p<0.0001) but a higher complication rate (RR=1.74, p=0.0005).
December 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28027845/differences-in-the-treatment-of-distal-radius-fractures-by-hand-fellowship-trained-surgeons-a-study-of-abos-candidate-data
#11
Sean Childs, Tobias Mann, Jason Dahl, John Ketz, Warren C Hammert, Peter M Murray, John Elfar
PURPOSE: The management of distal radius fractures differs based on the nature of the fracture and the experience of the surgeon. We hypothesized that patients requiring surgical intervention would undergo different procedures when in the care of a surgeon with subspecialty training in hand surgery as compared with surgeons with no subspecialty training in hand surgery. METHODS: We queried the ABOS database for case log information submitted for part II of the ABOS examination...
December 24, 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28027660/cross-sectional-study-to-assess-the-functional-outcome-of-neglected-bimalleolar-fracture
#12
Rajeev Shukla, Ravi Kant Jain, Shravan Patidar, Nikhil Jain, Pranav Mahajan
INTRODUCTION: Ankle fracture is the most common intra-articular fracture of a weight-bearing joint and accounts for 9% of all fractures. Ankle fractures are classified into 3 subgroups: unimalleolar, bimalleolar, and trimalleolar fractures. Accurate reduction and stable internal fixation is necessary in bimalleolar fractures; otherwise, it may lead to posttraumatic painful restriction of movements or osteoarthritis. The purpose of this study is to assess the functional outcome and results of treatment of neglected bimalleolar fracture...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28026721/standard-approaches-to-the-acetabulum-part-2-ilioinguinal-approach
#13
A Gänsslen, S T Grechenig, M Nerlich, M Müller, W Grechenig
The ilioinguinal approach is one of the standard approaches in the treatment of displaced acetabular fractures used during the last decades (9). The meta-analysis of Giannoudis et al. showed that 21.9% of acetabular fractures were historically treated using this approach (3). One of the disadvantages of this study was, that studies focussing especially on posterior wall stabilization and studies dealing with more complex fracture types treated by extended approaches were integrated. Thus, these fracture types were overrepresented...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28018084/recurrent-anterior-instability-of-the-shoulder-associated-with-coracoid-fracture-an-unusual-presentation
#14
Nikhil Verma, Deepak Chahar, Ankit Chawla, Ravi Sreenivasan, Amite Pankaj
Recurrent anterior shoulder instability following shoulder dislocation has an incidence as high as 68% among the younger population, however its association with coracoid fracture is extremely rare. Majority of coracoid fractures reported earlier have been shown to be associated with seizure disorder. We report a case of displaced coracoid fracture associated with recurrent anterior instability in a patient with no history of seizure disorder and its implications in causation as well as management are discussed...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28009702/volar-dorsal-and-lateral-locking-plate-fixation-for-pilon-fractures
#15
Mark Henry
The more common dorsal fracture subluxations at the base of the middle phalanx have an intact dorsal buttress of articular surface in continuity with the shaft. Capitalizing on this foundation, various fixation methods have met with relatively equivalent success including Kirschner wires, screws only, nonlocking plate and screws, and external fixation. Pilon fractures are complete articular fractures, where the comminuted articular fragments lack any structural connection to the more distal shaft of the middle phalanx, and have largely relied upon external fixation traction systems...
December 22, 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/28002220/postoperative-computed-tomography-for-articular-fractures-a-systematic-review
#16
Samantha Stott, Zsolt J Balogh
OBJECTIVES: To determine the current published patterns of computed tomography (CT) use postoperatively in peri-articular fractures and identify those populations whereby postoperative CT changes management or results in better clinical outcomes. DATA SOURCES: Systematic review of MEDLINE and Cochrane using a combination of key words, including fracture fixation, fracture healing, and computed tomography. The final update search was performed on May 20, 2015. The search was limited to English language publications of human studies from the past 20 years...
January 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27999456/investigating-the-effect-of-intra-articular-platelet-rich-plasma-injection-on-union-pain-and-function-improvement-in-patients-with-scaphoid-fracture
#17
Hamid Namazi, Toomaj Kayedi
Introduction Fracture of the scaphoid bone is the most common fracture of the carpus. However, the fracture union occurs late or may not heal. Sometimes, fracture healing requires prolong immobilization. Because of potential for joint stiffness, muscle atrophy, or the inability to use the hand during and after prolonged immobilization, there is great incentive to develop therapies that will accelerate bone healing and allow a quick return to work. To date, the effect of platelet-rich plasma (PRP) on scaphoid fracture has not been studied...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27995938/a-radiographic-evaluation-of-facet-sagittal-angle-in-cervical-spinal-cord-injury-without-major-fracture-or-dislocation
#18
T Takao, K Kubota, T Maeda, S Okada, Y Morishita, E Mori, I Yugue, O Kawano, H Sakai, T Ueta, K Shiba
STUDY DESIGN: A retrospective radiographic study with a minimum 2-year follow-up. OBJECTIVE: To evaluate the relationships between the cervical articular facets' morphology and the incidence of traumatic cervical spinal cord injury (CSCI) without major fracture or dislocation. SETTING: Spinal Injuries Center, Japan. METHODS: This study included 113 patients with traumatic CSCI without major fracture or dislocation. Eighty-four healthy volunteers without neurological deficits or cervical cord pathology on magnetic resonance imaging (MRI) were defined as control subjects...
December 20, 2016: Spinal Cord
https://www.readbyqxmd.com/read/27984452/comparison-of-three-methods-for-maintaining-inter-fragmentary-compression-after-fracture-reduction-and-fixation
#19
Brigham Au, John Groundland, T Kyle Stoops, Brandon G Santoni, H Claude Sagi
OBJECTIVES: It is recommended that the intraarticular component of a supracondylar distal femoral fracture be stabilized by a lag screw to create interfragmental compression. Generally, it is thought that lag screw fixation should precede any positional screw or locking screw application. This study compared three methods of maintaining inter-fragmentary compression after fracture reduction with a reduction clamp. METHODS: Intra-articular vertical split fractures were created in synthetic femora...
December 1, 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27984441/outcome-following-tibial-plateau-fracture-how-important-is-restoration-of-articular-congruity
#20
Neal Singleton, Vahe Sahakian, Dawson Muir
OBJECTIVES: Does restoration of articular congruity have any effect on long-term outcome following tibial plateau fracture? DESIGN: Cohort study. SETTING: A secondary hospital in New Zealand, which services a population of 150,000. PATIENTS: All patients with a depressed tibial plateau fracture seen over a six year period were invited to participate in the study. There were 41 patients (average age 54 years) recruited from an eligible population of 97...
November 24, 2016: Journal of Orthopaedic Trauma
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